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Journal of Agricultural and Food Chemistry is published by the American ChemicalSociety. 1155 Sixteenth Street N.W., Washington, DC 20036Published by American Chemical Society. Copyright © American Chemical Society.However, no copyright claim is made to original U.S. Government works, or worksproduced by employees of any Commonwealth realm Crown government in the courseof their duties.
Article
Predicting the important enzyme players in human breast milk digestionNora Khaldi, Vaishnavi Vijayakumar, David C. Dallas, Andrés Guerrero, Saumya Wickramasinghe,Jennifer T. Smilowitz, Juan F. Medrano, Carlito B. Lebrilla, Denis C Shields, and J. Bruce German
J. Agric. Food Chem., Just Accepted Manuscript • DOI: 10.1021/jf405601e • Publication Date (Web): 12 Mar 2014
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1
Title. Predicting the important enzyme players in human breast milk digestion 1
2
Nora Khaldia,b,c,1
, Vaishnavi Vijayakumara,b
, David C. Dallasc,d
, Andrés Guerreroe, 3
Saumya Wickramasinghef,g
, Jennifer T. Smilowitzc,d
, Juan F. Medranog, Carlito B. 4
Lebrillae, Denis C. Shields
a,b, and J. Bruce German
c,d 5
6
aConway Institute of Biomolecular and Biomedical Research, School of Medicine and 7
Medical Sciences. University College Dublin, Dublin, Republic of Ireland 8
bComplex and Adaptive Systems Laboratory, University College Dublin, Dublin, 9
Republic of Ireland 10
cDepartment of Food Science and Technology, University of California, Davis, 11
California 95616, USA. 12
dFoods for Health Institute, University of California, Davis, California 95616, USA. 13
eDepartment of Chemistry University of California, Davis Califorina 95616, USA. 14
fDepartment of Basic Veterinary Sciences, University of Peradeniya, Sri Lanka 15
gDepartment of Animal Science, University of California, Davis, California 95616, 16
USA. 17
18
1To whom correspondence should be addressed: Nora Khaldi, [email protected], 19
phone: 00353 -1-7165335, UCD Complex and Adaptive Systems Laboratory, 20
University College Dublin, Dublin 4, Ireland. 21
22
23
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ABSTRACT 24
Human milk is known to contain several proteases, but little is known about 25
whether these enzymes are active, which proteins they cleave and their relative 26
contribution to milk protein digestion in vivo. We analyzed the mass spectrometry-27
identified protein fragments found in pooled human milk by comparing their cleavage 28
sites with the enzyme specificity patterns of an array of enzymes. The results indicate 29
that several enzymes are actively taking part in the digestion of human milk proteins 30
within the mammary gland, including plasmin and/or trypsin, elastase, cathepsin D, 31
pepsin, chymotrypsin, a glutamyl endopeptidase-like enzyme and proline 32
endopeptidase. Two proteins were most affected by enzyme hydrolysis: β-casein and 33
polymeric immunoglobulin receptor. In contrast, other highly abundant milk proteins 34
such as α-lactalbumin and lactoferrin appear to have undergone no proteolytic 35
cleavage. We also show that a peptide sequence containing a known anti-microbial 36
peptide is released in breast milk by elastase and cathepsin D. 37
38
39
KEYWORDS: hydrolysate, human milk digestion, milk, nutrition, proteolytic 40
enzymes, bioactive peptide. 41
42
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INTRODUCTION 43
Milk is a live secretion that contains numerous complex biomolecules such as 44
proteins, oligosaccharides and lipids. In addition to these components, previous 45
studies have shown that milk also contains active and inactive forms of hydrolytic 46
enzymes capable of acting upon these biopolymers, including proteolytic enzymes. 47
These independent studies have shown that milk contains plasmin (1, 2); 48
immunoreactive anionic trypsin, most likely present in complex with IgA (3, 4); and 49
cathepsin D (5). 50
Although it has been established that proteolytic enzymes are present in milk, 51
little is known about whether these enzymes are active on milk proteins. In addition, 52
if the enzymes were to be active, their contribution to milk protein hydrolysis, and 53
their relative contribution compared to one another are unknown. 54
Many of the studies of milk proteolytic enzymes were carried out on bovine 55
milk, mainly for cheese- or mastitis-related questions; very few were carried out on 56
human milk (6-9). Most milk proteolytic enzyme investigations have been carried out 57
separately for each enzyme and do not determine the specific effects of each enzyme 58
on milk proteins. This lack of research means that the impact the enzymes have on 59
human milk proteins remains largely unknown. The biological value of these 60
proteolytic enzymes in milk remains ambiguous. Some reports suggest that milk 61
enzymes may support infant growth and nutrition (10). Some studies suggest that 62
these enzymes may release bioactive peptides that are beneficial for the infant’s 63
development (see reviews (11, 12)). But, so far, none of these peptide actions and in 64
vivo catalytic releases have been demonstrated. 65
Understanding milk composition, and its diverse catalytic activities, notably 66
the proteolytic enzymes, will shed light on mammalian development, evolution, and 67
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how to protect neonates. A new generation of analytical and computational tools has 68
made it possible to investigate milk’s biopolymers in greater breadth and detail. We 69
previously published a novel mass spectrometry (MS)-based peptide search platform 70
that we used in an iterative searching strategy to identify peptides in minor 71
abundances in human milk (13). We discovered many peptides, proving that milk 72
proteins can be digested prior entering the infant’s digestive system. Many of these 73
peptides overlapped with known antimicrobial peptides (13). In this study, we assess 74
the proteolytic activity in human breast milk. We used computational tools to analyze 75
the peptide fragments given their milk protein sequence context. Using these tools, we 76
predicted the proteolytic enzymes that are active in human milk, we examined the 77
relative contribution of each enzyme, and we identified the proteins that have been the 78
most cleaved by the predicted enzymes. mRNA expression was also measured in 79
human milk to determine whether these enzymes are expressed in the mammary gland 80
or whether they enter milk from other sources such as blood. 81
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MATERIALS AND METHODS 82
Breast milk collection: Mature breast milk was collected from two healthy mothers 83
who delivered at term (IRB number 216198). The milk was kept in storage up to 1 84
month. There is no impact on milk proteins and enzymes with storage. In other words, 85
no enzyme activity occurs when samples are frozen. The stage of lactation of the first 86
mother was 3 months and the second was 4 months. The mothers providing this milk 87
were instructed to cleanse each breast with water and then use an electronic pump to 88
collect a pool of milk from both breasts. The samples were then stored in the subjects' 89
freezers and delivered to the laboratory on ice where they were stored at -80C. 90
91
Sample preparation: Peptides were extracted from human milk according to the 92
method of Dallas et al. (13). Briefly, 200 µL of each milk sample were thawed on ice 93
and combined. To remove milk fat globules, the milk was centrifuged at 3,000 x g for 94
10 min and the skim infranate was extracted. Centrifugation was repeated on the skim 95
infranate to remove any remaining visible lipid layer. Proteins were then precipitated 96
with addition of 400 µL of 200 g/L trichloroacetic acid. Samples were vortexed 97
briefly, then centrifuged at 3,000 x g for 10 min and the peptide-containing 98
supernatant was collected, leaving the precipitated protein. This precipitation was 99
repeated for a total of three times. Trichloroacetic acid, salts, oligosaccharides and 100
lactose were then removed from the peptides by C18 reverse-phase preparative 101
chromatography. Contaminants were eluted with water and peptides were then eluted 102
with 80% acetonitrile (ACN), 0.1 % trifluoroacetic acid (v/v). The peptide solution 103
was then dried down in a vacuum centrifuge at 37ºC. After drying, the sample was 104
rehydrated in 40 µL of nanopure water for MS analysis. 105
106
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MS analysis of human breast milk peptides: Peptides were analyzed via nano-107
liquid chromatography chip quadrupole time-of-flight tandem MS (Agilent, Santa 108
Clara, CA). Two µL of sample were injected for each run onto the C18 reverse-phase 109
nano chip. The nanopump flow was .3 µL/min and the capillary pump flow rate was 3 110
µL/min. Peptides were eluted with the following gradient of solvent A (3% ACN, 111
0.1% formic acid (FA) (v/v)) and solvent B (90% ACN, 0.1% FA (v/v)): 0–8% B 112
from 0–5 min, 8–26.5% B from 5–24 min, 26.5–100% B from 24–48 min, followed 113
by 100% B for 2 min and 100% A for 10 min (to re-equilibrate the column). The 114
instrument was run in positive ionization mode. Data collection thresholds were set at 115
200 ion counts or 0.01% relative intensity for MS spectra and 5 ion counts or 0.01% 116
relative intensity for MS/MS. Data were collected in centroid mode. The drying gas 117
was 350 °C and flow rate was 3 L/min. The required chip voltage for consistent spray 118
varied from 1850 to 1920 V. Automated precursor selection based on abundance was 119
employed to select peaks for tandem fragmentation with an exclusion list consisting 120
of all peptides identified in previous analyses in this study. The acquisition rate 121
employed was 3 spectra/s for both MS and MS/MS modes. The isolation width for 122
tandem analysis was 1.3 m/z. The collision energy was set by the formula 123
(Slope)*(m/z)/100+Offset, with slope = 3.6 and offset = -4.8. Five tandem spectra 124
were collected after each MS spectrum, with active exclusion after 5 MS/MS for 0.15 125
min. Precursor ions were only selected if they had at least 1000 ion counts or 0.01% 126
of the relative intensity of the spectra. Mass calibration was performed during data 127
acquisition based on an infused calibrant ion with a mass of 922.009789 Da. 128
Agilent Mass Hunter Qualitative Analysis Software (Santa Clara, CA) was used to 129
analyze the data obtained. Molecules identified in the spectral analysis were grouped 130
into compounds by the Find by Molecular Feature algorithm, which groups together 131
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molecules across charge state and charge carrier. All tandem-MS from each data file 132
were exported as Mascot Generic Files (.mgf) with a peptide isotope model and a 133
maximum charge state of +9. 134
Peptide identification was accomplished using both the MS-GFDB (via a command-135
line interface) and X!Tandem (using the downloadable graphical user interface). The 136
human milk library used in both searches was constructed based on a query to the 137
Uniprot database. The query returned only proteins from Homo sapiens and at least 138
one of the following: “tissue specificity” keyword “milk” or “mammary”, “tissue” 139
keyword “milk” or “mammary” or gene ontology “lactation”. This query returned a 140
list of 1,472 proteins. These were exported to FASTA file format. For MS-GFDB, 141
peptides were accepted if p-values were less than or equal to 0.01 corresponding to 142
confidence levels of 99%. No p-values exist in X!Tandem, so a closely related 143
statistic, e-value, was used for the X!Tandem search. The e-value thresholds selected 144
were again 0.01, reflecting 99% confidence. In both programs, masses were allowed 145
20 ppm error. No complete (required) modifications were included but up to four 146
potential modifications were allowed on each peptide. Potential modifications 147
allowed were phosphorylation of serine, threonine or tyrosine and oxidation of 148
methionine. A non-specific cleavage ([X]|[X]) (where ‘X’ is any amino acid) was 149
used to search against the protein sequences. For MS-GFDB, the fragmentation 150
method selected in the search was collision-induced dissociation and the instrument 151
selected was time-of-flight. For X!Tandem, there was no option for fragmentation 152
type and instrument selection. Because the instrument did not always select the 153
monoisotopic ion for tandem fragmentation, isotope errors were allowed (allowing up 154
to one C13). No model refinement was employed in X!Tandem. 155
156
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Enzyme prediction: The web-based software EnzymePredictor (14) was employed to 157
evaluate and predict which enzymes most likely contributed to cleavage of human 158
breast milk proteins (http://bioware.ucd.ie/~enzpred/Enzpred.php). Enzymes were 159
classified based on their total number of performed cleavages, and they were 160
evaluated based on their odds ratio (OR; See Table 1), which is an indicator of their 161
degree of participation in the hydrolysis or the proteins. The OR values indicate that 162
certain enzymes are over-represented, and others under-represented. The following 163
information were also collected from EnzymePredictor: number of times an enzyme 164
could have cleaved within the current peptides, total number of proteins cleaved by 165
each enzyme, total number of cleavages performed by an enzyme on the C- and N-166
terminus. 167
168
Expression profiling of human milk 169
Fresh milk sample collection: Fresh milk samples were obtained from three healthy 170
females on days 4, 15, 30 and 60 postpartum who gave birth to a term infant (> 37 171
weeks of gestation). In the early morning period, the donor manually pumped one 172
breast until emptied into a collection bag, and immediately delivered on cold-packs to 173
the lab for processing. The Institutional Review Board of University of California, 174
Davis, approved the project. 175
176
177
RNA extraction for gene expression studies: Somatic cells were pelleted by adding 178
50 µL of 0.5 M ethylenediaminetetraacetic acid to 20 mL of fresh milk and 179
centrifuged at 2,000 x g at 4˚C for 10 min (15). The pellet of cells was washed with 180
10 mL of phosphate-buffered saline at pH 7.2 and 10 µL of 0.5 M 181
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ethylenediaminetetraacetic acid (final concentration 0.5 mM) and filtered through 182
sterile cheesecloth to remove any debris. The cells were then centrifuged again at 183
2,000 x g at 4˚C for 10 min. The supernatant was decanted and RNA was extracted 184
from the milk somatic cell pellet using Trizol (Invitrogen, Carlsbad, CA) according to 185
the manufacturer’s instructions. RNA was quantified by an ND-1000 186
spectrophotometer (Fisher Thermo, Wilmington, MA) and the quality and integrity 187
was assessed by the spectrophotometer 260/280 ratio, gel electrophoresis and by 188
capillary electrophoresis with an Experion Bio-analyzer (Bio-Rad, Hercules, CA). 189
190
RNA sequencing and data analysis: Gene expression analysis was conducted on 191
fresh milk samples collected on days 4, 15, 30 and 60 postpartum by RNA sequencing 192
(RNA-Seq). Messenger RNA was isolated and purified using an RNA-Seq sample 193
preparation kit (Illumina, San Diego, CA). The fragments were purified and 194
sequenced at the UC Davis Genome Center DNA Technologies Core Facility using 195
the Illumina Genome Analyzer (GAII) and Illumina HiSeq 2000. Sequence reads 196
were assembled and analyzed in RNA-Seq. Expression analysis was performed with 197
the CLC Genomics Workbench 6.0 (CLC Bio, Aarhus, Denmark). Human Genome, 198
GRCh37.69 (ftp://ftp.ensembl.org/pub/release-69/genbank/homo_sapiens/) was 199
utilized as the reference genome for the assembly. Data were normalized by 200
calculating the ‘reads per kilobase per million mapped reads’ (RPKM) (16) for each 201
gene and annotated with ENSEMBL human genome assembly (55,203 unique genes). 202
203
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RESULTS AND DISCUSSION 204
This project aimed to determine the enzymes responsible for the cleavage 205
patterns identified in milk; examine each enzyme’s contribution to the hydrolyses of 206
human milk proteins; and clarify whether these enzymes are expressed in milk or 207
enter milk from other sources. 208
A novel MS-based peptide search platform using an iterative searching 209
strategy detected a variety of peptides in minor abundances in pooled human breast 210
milk samples (13). The peptides extracted and identified for the present study were 211
analyzed using EnzymePredictor (14). The results of this analysis are presented in 212
Table 1. The enzymes are ordered based on their total number of cleavages, from 213
those that have cleaved extensively to those that are predicted to have cleaved one 214
residue. As discussed in the interpretation of EnzymePredictor (14), the enzymes with 215
a combined high number of total cleavages performed and a high odds ratio are the 216
enzymes that are most likely active in the milk. 217
Expression profiles from samples of human breast milk were established as 218
the means to investigate if the predicted enzymes originate from the mammary 219
epithelial cells or they enter milk from other sources, such as blood. The samples that 220
were obtained for analysis for peptide detection via MS were pooled from mature 221
milk samples from two mothers, both 3-months postpartum, while that of expression 222
data was of 2-month postpartum milk. 223
1. Major cleavage of proteins in human milk is at trypsin and plasmin target 224
sites. 225
The natural cleavages of milk proteins showed a strong enrichment for cleavage after 226
K or R, both consistent with plasmin and trypsin cleavage (Table 1,4). 227
The presence of plasmin—an enzyme that plays a major role in the proteolytic 228
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breakdown of blood clots—has been previously reported in milk (1), but its 229
contribution to human milk proteolytic hydrolysis is unknown. This study found that 230
plasmin potentially cleaved 320 peptides (Fig. 1, Table 1) derived from 15 milk 231
proteins (Table 2). Anionic trypsin's presence in human milk was initially identified 232
by Monti et al. and Borulf et al. (3, 4). Borulf et al. showed that trypsin’s presence in 233
milk is likely in complex with IgA. Whether this enzyme contributes to the hydrolysis 234
of human milk proteins remains unknown. 235
The two proteins most affected by potential plasmin or trypsin digestion were 236
polymeric immunoglobulin receptor (32 cleavages of peptides) and β-casein (89). 237
Other hydrolyzed proteins included αS1-casein (11), osteopontin (18), butyrophilin 238
subfamily 1 member A1 (15), and κ-casein (7). These analyses found that plasmin 239
cleaves an androgen receptor that trypsin failed to cleave (Q9UN21; Table 2-3). 240
Butyrophilin-subfamily 1 member A1 is part of the milk fat globule membrane. Thus, 241
the low number of peptides detected from this protein might be due to the 242
centrifugation for the removal of the milk fat globules. Trypsin can typically not 243
cleave if the K or R is followed by a P, which makes the androgen receptor better fit 244
the plasmin pattern (Table 4). This result would suggest that the cleavage tends to 245
follow the specificity of plasmin more consistently than that of trypsin. However, 246
there are too few cleavages representing K or R followed by P (only one in our case) 247
to disambiguate between plasmin and trypsin activities in the milk. 248
2. Enzymes cleaving hydrophobic target sites: elastase, cathepsin D, pepsin and 249
chymotrypsin. 250
While the active form of cathepsin D is found in bovine milk (5), the major form of 251
this enzyme in milk is the inactive zymogen, procathepsin D (17). In this study, 252
cathepsin D was found to be active in human milk (Table 1), cleaving 130 times. 253
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Cathepsin D hydrolyzed the highest number of milk proteins (24 milk proteins) 254
compared to the other enzymes present in milk (Table 1,5; Figure 1). Although the 255
total number of times cathepsin D performed a cleavage is high (130 total cleavages), 256
most of these are located in two proteins: β-casein with 78 cleavages and polymeric 257
immunoglobulin receptor with 21 cleavages. Interestingly, both these proteins have 258
also been the most digested ones with all 5 top predicted enzymes. 259
A high number of potential cleavage sites was predicted for cathepsin D (846; 260
Table 1), which were not observed in the peptide results, with an Odds Ratio below 261
one. This failure to produce predicted peptides could be due to the positioning of a 262
sub-population of these residues in regions difficult for the enzyme to access due to 263
structural constraints. This structural inhibition is more likely for cathepsin D sites, 264
since many potential cleavage sites are strongly hydrophobic, and hydrophobic 265
regions are usually buried within the structured regions of proteins. 266
Elastase is another enzyme predicted to be active in human milk. Elastase is 267
known to be a major proteinase in polymorphonuclear neutrophils (PMNs), which are 268
phagocytic cells that destroy infectious agents in humans (18). Elastase activity has 269
been detected in PMNs recovered from milk during experimentally induced mastitis 270
(19). There is substantial overlap between the cleavage sites of elastase and cathepsin 271
D, and again there are a large number of sites (563) interior to the peptides that were 272
not cleaved. Elastase potentially performed 90 total cleavages of milk peptides (Table 273
6) over 13 proteins. The proteins that elastase cleaved the most are β-casein (41 274
cleavages of unique peptides) and polymeric immunoglobulin receptor (25 cleavages 275
of unique peptides). No traces of elastase activity were observed on κ-casein (Table 276
6), and only one cleavage for cathepsin D (Table 5). This reflects the similar, but not 277
identical, cleavage pattern between elastase and cathepsin D. To resolve the 278
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specificity, the number of sites that were cleaved in common between both were 279
determined (60 cleavages of unique peptides) or specific to only one (69 for cathepsin 280
D of unique peptides, and 28 for elastase of unique peptides). This pattern suggests a 281
role for both enzymes in human milk digestion prior to infant consumption. 282
Two other enzymes with hydrophobic targets, pepsin and chymotrypsin, are 283
consistent with a number of digestion sites additional to those digestible by cathepsin 284
D and elastase. Only 21 of the 75 total peptide terminal cleavage sites of unique 285
peptides that are predicted to be performed by chymotrypsin are common cleavages 286
with elastase and cathepsin D. For pepsin, only 38 of the 72 cleavages sites predicted 287
from the unique peptides are shared with elastase and cathepsin D. Furthermore, only 288
16 peptide terminal cleavage sites are shared between both pepsin and chymotryspin. 289
These findings indicate the first support that pepsin- and chymotrypsin-like activities 290
are present in human breast milk (Table 1). 291
3. Examination of gene and protein expression profile of proteases in human 292
milk. 293
Previous work has suggested that plasmin is found in milk but that it 294
originates from blood (20). This study tested if the enzymes responsible for the 295
observed peptide fragments are produced in the mammary gland or migrate into milk 296
from other origins. Gene expression analysis was carried out for human milk 297
according to the procedure used for bovine milk ((15); Table 1). The expression was 298
analyzed for days 4, 15, 30 and 60 of lactation. For consistency purposes, day 60 gene 299
expression was determined, however we also took into account the expression levels 300
for the other days of lactation to build Table 1 which shows the possibility of 301
expression of an enzyme at different stages of lactation. The results show that very 302
few of the proteolytic enzymes described in Table 1 are expressed in the mammary 303
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gland at these timepoints (Table 1). In agreement with previous literature, no gene 304
expression of plasmin was detected in the milks. Moreover, no expression was 305
observed for the intestinal enzyme trypsin. 306
Cathepsin D was highly expressed (365 RPKM, Table 1). Elastase, however, 307
was not expressed in the mammary epithelial cells (Table 1). As mentioned above, the 308
presence of active elastase in milk may be explained by its presence in PMNs. We 309
would expect the vast majority of PMN cells to be pelleted by the centrifugation and 310
thus, would not participate in any degradation of the milk proteins after centrifugation 311
(see methods). However, PMN can secrete elastase while still within the mammary 312
gland, and the predicted elastase activity may derive from them. 313
4. Other predicted proteases that were also expressed in human milk 314
Most of the other predicted enzymes have a low number of total cleavages, 315
making it difficult to fully support their presence in milk (Table 1; total 316
cleavages<=44). Interestingly, some of these enzymes activities predicted in milk 317
seem to be expressed in matching proteases. Based on a relatively specific cleavage 318
site not shared by other proteases in these analyses (cleaves after E; with 76 cleavages 319
in total), we predicted a glutamyl endopeptidase-like activity. Transcripts for glutamyl 320
endopeptidase were, however, not detected in mammary epithelial cells. A glutamyl 321
endopeptidase-like protease (proteasome subunit beta type-3, PSMB3) is, however, 322
highly expressed (75.9 RPKM; Table 1). This result may explain the high number of 323
cleavage sites predicted to be due to a glutamyl endopeptidase-like enzyme (930). 324
Indeed, this glutamyl endopeptidase-like protease may have a more specific cleavage 325
pattern explaining the many residues containing glutamic acid (E) that it did not 326
cleave, as this cannot be accounted for by a structural bias, since the charged glutamic 327
acids are not found buried in the core of the proteins. While the gene expression of a 328
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glutamyl endopeptidase (called “a disintegrin and metalloproteinase with 329
thrombospondin motifs 4” (ADAMTS4) was detected, its potential cleavage site, 330
E'[AS], is only cleaved eight times in the dataset. Thus, there is no indication for this 331
enzyme playing a role as the major glutamyl endopeptidase activity in milk. 332
Proline-endopeptidase was found to be expressed in milk (5.52 RPKM; Table 333
1). Proline-endopeptidase is responsible for the cleavage of 45 residues covering a 334
total of 18 milk proteins (Table 1; Figure 1). 335
5. In vivo release of antimicrobial peptides in human milk 336
Milk proteins may carry encrypted functional peptide sequences that, when 337
released by enzymes from the intact protein, help in the protection and development 338
of the neonate (12). But without in vivo results, these concepts remain unproven. This 339
study identified four peptides that overlap (2 extra or less amino acids on the N-340
terminus of the peptide) with a known antimicrobial peptide that has been reported 341
previously in the literature (21). This peptide is present at the C-terminus of β-casein 342
(Figure 2). These four overlapping peptides are naturally released in human milk via 343
the action of several enzymes, including cathepsin D and elastase (Figure 2). The 344
overlapping peptides most likely carry the antibacterial activity, as the amino acid 345
additions compared to the literature-defined sequence is unlikely to abolish the 346
antimicrobial activity of these sequences. 347
6. Uneven distribution of enzyme activity in human milk 348
To measure the enzyme activity we considered the unique cleavages of each 349
(i.e. if an enzyme cleaves out the same peptide from the parent protein multiple times, 350
we will only consider this to be one unique cleavage). This measure highlights more 351
the range of cleavages of an enzyme and makes it possible to compare it with other 352
enzyme ranges rather than comparing its ability to cleave many times the same 353
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peptides. Consequently, this measure does not take the abundance of the proteins into 354
account. Using this approach we find that two proteins—β-casein and polymeric 355
immunoglobulin receptor—show the highest susceptibility to the milk enzyme 356
activity, as shown by the large number of fragments found from these two proteins. β-357
casein is a milk-specific protein expressed during lactation. Interestingly, the other 358
two milk-specific proteins—αS1-casein and κ-casein—show little digestion 359
susceptibly within the mammary gland. The possibility of protein structural disorder 360
being the source of variability in degradation susceptibility among these proteins is 361
not supported by these results, as κ-casein and αS1-casein are also highly disordered 362
proteins. The K and R residues are those that show the most susceptibility for the 363
cleavages observed in human milk proteins. However, no enrichment of these amino 364
acids was found in β-casein versus αS1-casein or κ-casein (14 K and R sites in β-365
casein; 16 in αS1-casein; and 13 κ-casein). In fact, there are even less K and R in β-366
casein over the sequence length compared to αS1-casein or κ-casein, arguing that this 367
is not the driver behind β-casein susceptibility, nor is it for polymeric 368
immunoglobulin receptor (6% in β-casein; 9% in α-S1-casein; 8% κ-casein; and 10% 369
in polymeric immunoglobulin receptor). On the other hand, post-translational 370
modifications may also explain these variations in susceptibility of proteins to 371
degradation. Indeed, large modifications on proteins may prevent enzymes from 372
reaching their target site. However, investigating the potential modifications sites 373
using Uniprot shows that all the casein proteins are slightly/equivalently modified (in 374
terms of numbers of glycosylations and phosphorylations). 375
The other major milk-specific proteins that have not been affected are α-376
lactalbumin, and lactoferrin. No peptides from these proteins were detected despite 377
the fact that plasmin, trypsin, cathepsin D and elastase were all predicted to cleave 378
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both of these proteins. It is perhaps because of the particular structure and post-379
translational modifications of α-lactalbumin, and lactoferrin that prevented the 380
enzymes from cleaving them. 381
Although cathepsin D is highly expressed in milk (Table 1), it does not show a 382
high effectiveness in cleaving milk proteins. This lower cleavage rate may be because 383
cathepsin D is most effective at a more acidic pH (pH=5 for cathepsin D), which is 384
different to the more neutral milk pH. 385
Independent studies have shown the existence and activity of some enzymes in 386
milk, but the extent to which these enzymes are active relative to each other remained 387
unknown. Likewise, whether or not these enzymes are created in the mammary 388
epithelial cells or not was unclear. The enzymes that are active in human milk and 389
responsible for protein digestion prior to entry into the infant’s digestive system were 390
determined. Using a combination of bioinformatics, peptidomics, transcriptomics and 391
literature results, we showed that milk begins to be digested even before infant 392
consumption, and that this digestion is mainly carried out by four proteolytic 393
enzymes: plasmin, a trypsin-like enzyme, elastase, and cathepsin D (Tables 1, 2, 3, 5, 394
6). Among these four enzymes, only cathepsin D and elastase are expressed in milk, 395
with elastase showing only weak expression at day 15 and 30, and no expression after 396
that (Table 1). Activity and expression of chymotrypsin and pepsin-like activity were 397
also seen (Table 1). This finding is surprising, given that these enzymes have never 398
been reported in human breast milk. Other enzymes that this analysis predicted from 399
activity and expression are glutamyl endopeptidase and proline endopeptidase (Table 400
1). 401
Interestingly, plasmin, trypsin, elastase and cathepsin D cleave the casein 402
proteins (αs1-, β-, and κ-casein) to various extents. Our novel MS-based peptide 403
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search platform using an iterative searching strategy to detect peptides in minor 404
abundances did not detect peptides resulting from α-lactalbumin. Plasmin, a trypsin-405
like enzyme, elastase and cathepsin are predicted to cleave this protein, yet none of 406
the predicted peptides could be detected. The mechanism causing this protein 407
selectivity of digestion remains unknown. 408
409
We know very little about proteolytic enzyme activity in human milk, this makes the 410
problem of humanizing formulae milk even harder. The work we have carried out 411
here sheds light on the different enzymes we find in human milk and the relative 412
contribution of each of them –in terms of the release of unique peptides- to cleaving 413
milk proteins. The example illustrated in figure 2 of a known anti-microbial activity 414
being released illustrates how enzyme activity in human milk may be playing a much 415
greater role than previously anticipated, and fully clarifying this role is key in 416
understanding the infant needs. 417
418
ABBREVIATIONS 419
MS, mass spectrometry; FA, formic acid; ACN, acetonitrile; OD, odds ratio; PMN, 420
polymorphonuclear neutrophils; RPKM, reads per kilobase per million mapped reads. 421
422
ACKNOWLEDGEMENTS 423
The authors thank Prof. Alan Kelly and Kevin Rue for helpful discussions. 424
This work was funded by the Irish Research Council for Science, Engineering and 425
Technology, co-funded by Marie Curie Actions under FP7; Enterprise Ireland grant to 426
Food Health Ireland; SFI grant 08/IN.1/B1864; University of California Discovery 427
Program (05GEB01NHB), the National Institute of Health (HD059127 and 428
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HD061923) California Dairy Research Foundation; United States Department of 429
Agriculture, National Institute for Food and Agriculture post-doctoral fellowship; 430
National Science Foundation Graduate Research Fellowship Program; National 431
Institute of Health Training Program in Biomolecular Technology (2-T3-GM08799). 432
433
Notes 434
The authors declare no competing financial interest. 435
436
REFERENCES 437
1. Heegaard, C. W.; Larsen, L. B.; Rasmussen, L. K.; Højberg, K. E.; Petersen, 438
T. E.; Andreasen, P. A., Plasminogen activation system in human milk. J. Pediatr. 439
Gastroenterol. Nutr. 1997, 25, 159-166. 440
2. Nielsen, S. S., Plasmin System and Microbial Proteases in Milk: 441
Characteristics, Roles, and Relationship. J. Agric. Food Chem. 2002, 50, 6628-6634. 442
3. Borulf, S.; Lindberg, T.; Mansson, M., Immunoreactive anionic trypsin and 443
anionic elastase in human-milk. Acta Paediatr. 1987, 76, 11-15. 444
4. Monti, J.; Mermoud, A.; Jolles, P., Trypsin in human milk. Experientia 1986, 445
42, 39-41. 446
5. Kaminogawa, S.; Yamauchi, K., Acid protease of bovine milk. Agric. Biol. 447
Chem. 1972, 36, 2351-2356. 448
6. Armaforte, E.; Curran, E.; Huppertz, T.; Ryan, C. A.; Caboni, M. F. O.; 449
Connor, P. M.; Ross, R. P.; Hirtz, C.; Sommerer, N.; Chevalier, F., Proteins and 450
proteolysis in pre-term and term human milk and possible implications for infant 451
formulae. Int. Dairy J. 2010, 20, 715–723. 452
7. Ferranti, P.; Traisci, M. V.; Picariello, G.; Nasi, A.; Boschi, V.; Siervo, M.; 453
Falconi, C.; Chianese, L.; Addeo, F., Casein proteolysis in human milk: tracing the 454
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pattern of casein breakdown and the formation of potential bioactive peptides. The 455
Journal of dairy research 2004, 71, 74-87. 456
8. Borulf, S.; Lindberg, T.; Mansson, M., Immunoreactive anionic trypsin and 457
anionic elastase in human milk. Acta paediatrica Scandinavica 1987, 76, 11-5. 458
9. Monti, J. C.; Mermoud, A. F.; Jolles, P., Trypsin in human milk. Experientia 459
1986, 42, 39-41. 460
10. Shahani, K.; Kwan, A.; Friend, B. A., Role and significance of enzymes in 461
human milk. Am. J. Clin. Nutr. 1980, 33, 1861-1868. 462
11. Korhonen, H.; Pihlanto, A., Bioactive peptides: production and functionality. 463
Int. Dairy J. 2006, 16, 945-960. 464
12. Dallas, D. C.; Underwood, M. A.; Zivkovic, A. M.; German, J. B., Digestion 465
of protein in premature and term infants. Journal of Nutritional Disorders and 466
Therapy 2012, 2, 1-9. 467
13. Dallas, D. C.; Guerrero, A.; Khaldi, N.; Castillo, P. A.; Martin, W. F.; 468
Smilowitz, J. T.; Bevins, C. L.; Barile, D.; German, J. B.; Lebrilla, C. B., Extensive in 469
vivo human milk peptidomics reveals specific proteolysis yielding protective 470
antimicrobial peptides. J. Proteome Res. 2013, 12, 2295-2304. 471
14. Vijayakumar, V.; Guerrero, A.; Davey, N.; Lebrilla, C. B.; Shields, D. C.; 472
Khaldi, N., EnzymePredictor: a tool for predicting and visualizing enzymatic 473
cleavages of digested proteins. J. Proteome Res. 2012, 11, 6056-6065. 474
15. Wickramasinghe, S.; Rincon, G.; Islas-Trejo, A.; Medrano, J. F., 475
Transcriptional profiling of bovine milk using RNA sequencing. BMC Genomics 476
2012, 13, 45-58. 477
16. Mortazavi, A.; Williams, B. A.; McCue, K.; Schaeffer, L.; Wold, B., Mapping 478
and quantifying mammalian transcriptomes by RNA-Seq. Nature methods 2008, 5, 479
621-628. 480
17. Larsen, L. B.; Petersen, T. E., Identification of five molecular forms of 481
cathepsin D in bovine milk. In Aspartic Proteinases, Springer: 1995; pp 279-283. 482
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18. Travis, J.; Fritz, H., Potential problems in designing elastase inhibitors for 483
therapy. Am. Rev. Respir. Dis. 1991, 143, 1412-1415. 484
19. Prin-Mathieu, C.; Le Roux, Y.; Faure, G.; Laurent, F.; Béné, M.; Moussaoui, 485
F., Enzymatic activities of bovine peripheral blood leukocytes and milk 486
polymorphonuclear neutrophils during intramammary inflammation caused by 487
lipopolysaccharide. Clin. Diagn. Lab. Immunol. 2002, 9, 812-817. 488
20. Kelly, A.; O’Flaherty, F.; Fox, P., Indigenous proteolytic enzymes in milk: A 489
brief overview of the present state of knowledge. Int. Dairy J. 2006, 16, 563-572. 490
21. Hayes, M.; Stanton, C.; Fitzgerald, G. F.; Ross, R. P., Putting microbes to 491
work: Dairy fermentation, cell factories and bioactive peptides. Part II: Bioactive 492
peptide functions. Biotechnology journal 2007, 2, 435-449. 493
22. Wilkins, M. R.; Gasteiger, E.; Bairoch, A.; Sanchez, J.-C.; Williams, K. L.; 494
Appel, R. D.; Hochstrasser, D. F., Protein identification and analysis tools in the 495
ExPASy server. In 2-D Proteome Analysis Protocols, Springer: 1999; pp 531-552. 496
23. Christensen, B.; Schack, L.; Kläning, E.; Sørensen, E. S., Osteopontin is 497
cleaved at multiple sites close to its integrin-binding motifs in milk and is a novel 498
substrate for plasmin and cathepsin D. J. Biol. Chem. 2010, 285, 7929-7937. 499
500
501
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Figure Captions 502
503
Figure 1. Representation of the total number of cleaved milk proteins per predicted 504
enzyme. Each enzyme name on the X-axis is plotted against the total number of 505
proteins it cleaves on the Y-axis. 506
507
Figure 2. Illustration of antimicrobial-like peptides released in vivo from β-casein in 508
human milk. The peptide QELLLNPTHQIYPVTQPLAPVHNPISV shown at the top 509
of the figure in grey has been discovered to be an antimicrobial peptide (21). This 510
peptide is found at the C-terminus of β-casein (position 199 to 225). Four overlapping 511
peptides found to be released in vivo in human milk are represented under the β-512
casein sequence. The in vivo cleavage positions are indicated with grey lines. The 513
enzymes predicted to be responsible for these cleavages are represented beside the 514
grey lines. 515
516
517
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TABLES
Table 1. Details of the enzymes that take part in the digestion of the human milk proteins ranked based on their total number of cleavages. The
corresponding gene expression levels in RPKM are provided for each enzyme.
Enzymes
N-terminus
cleavage
count
C-terminus
cleavage
count
Total
cleavage
Unique
cleavage
Number of expected
cleavages within the
peptide
Number of
proteins cleaved
Odds
ratio
Std
error
Gene expression given in RPKM
Plasmin 120 200 320 0 371 15 4.11 1.08 0
Trypsin 1* 120 199 319 0 352 14 4.33 1.09
0
(5.81 PRKM for trypsin domain containing protease
TYSND1)
Cathepsin D 68 62 130 0 846 24 0.61 1.1 365.07
Chymotrypsin low
1
68 34 102 0 449 11 0.93 1.12 0
Elastase 51 39 90 0 563 13 0.64 1.12 0
Pepsin 1 (pH1.3) 31 47 78 0 479 10 0.66 1.13 0.1
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Glutamyl
endopeptidase*
55 21 76 0 930 5 0.31 1.13
0
(75.97 PRKM for proteasome subunit beta type-6,
responsible for the peptidyl glutamyl-like activity,
PSMB6)
Pepsin 1 (pH>2) 30 38 68 0 315 8 0.89 1.15 0.1
Proline
endopeptidase
14 31 45 0 598 18 0.29 1.17 5.52
Chymotrypsin low
4
3 12 15 0 102 4 0.60 1.32 0
Chymotrypsin low
3
6 6 12 0 79 6 0.62 1.36 0
Chymotrypsin low
2
2 0 2 0 0 1 20.65 4.71 0
Enzymes in bold represent ones that are not expressed at day 60 of lactation but low expression of these genes has been detected at earlier stages of lactation (15, and 30 days).
* This indicates enzymes that do not show expression in milk but expression data shows the presence of other enzymes that have a similar activity and are expressed.
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Table 2. Human milk proteins found to have been digested by plasmin. The proteins
are ordered based on the number of cleavages plasmin has performed on each. Here
we only considered the number of peptides that are unique, if a peptide was not
unique we consider only one copy of the peptide. Proteins exclusively found in milk
are represented in bold.
Protein name Uniprot ID and access name
Total number of cleavages
performed
β-casein P05814 (CASB_HUMAN) 89
Polymeric immunoglobulin
receptor
P01833 (PIGR_HUMAN) 32
Osteopontin P10451 (OSTP_HUMAN) 18
Butyrophilin subfamily 1 member
A1
Q13410 (BT1A1_HUMAN) 15
α-S1-casein P47710 (CASA1_HUMAN) 11
K-casein P07498 (CASK_HUMAN) 7
Mucin-1 P15941 (MUC1_HUMAN) 3
Parathyroid hormone-related
protein
P12272 (PTHR_HUMAN) 2
Bile salt-activated lipase P19835 (CEL_HUMAN) 2
Androgen receptor Q9UN21 (Q9UN21_HUMAN) 1
Protein diaphanous homolog 1 O60610 (DIAP1_HUMAN) 1
Complement C4-A P0C0L4 (CO4A_HUMAN) 1
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La-related protein 1 Q6PKG0 (LARP1_HUMAN) 1
NMDA receptor-regulated protein
2
Q659A1 (NARG2_HUMAN) 1
Dedicator of cytokinesis protein 1 Q14185 DOCK1_HUMAN 1
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Table 3. Human milk proteins found to have been digested by trypsin. The proteins
are ordered based on the number of cleavages trypsin has performed on each. Here we
only considered the number of peptides that are unique, if a peptide was not unique
we consider only one copy of the peptide. Proteins exclusively found in milk are
represented in bold.
Protein name Uniprot ID and access name
Total number of cleavages
performed
β-casein P05814 (CASB_HUMAN) 89
Polymeric immunoglobulin
receptor
P01833 (PIGR_HUMAN) 32
Osteopontin P10451 (OSTP_HUMAN) 18
Butyrophilin subfamily 1
member A1
Q13410 (BT1A1_HUMAN) 15
αS1-casein P47710 (CASA1_HUMAN) 11
κκκκ-casein P07498 (CASK_HUMAN) 7
Mucin-1 P15941 (MUC1_HUMAN) 3
Parathyroid hormone-related
protein P12272 (PTHR_HUMAN) 2
Bile salt-activated lipase P19835 (CEL_HUMAN) 2
La-related protein 1 Q6PKG0 (LARP1_HUMAN) 1
Protein diaphanous homolog 1 O60610 (DIAP1_HUMAN) 1
NMDA receptor-regulated Q659A1 (NARG2_HUMAN) 1
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protein 2
Complement C4-A P0C0L4 (CO4A_HUMAN) 1
Dedicator of cytokinesis protein
1
Q14185 (DOCK1_HUMAN) 1
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Table 4. Enzyme specificity for plasmin and trypsin.
Enzyme
Cleavage
Pattern
Reference
P4 P3 P2 P1 P1’ P2’
Trypsin - - W K P -
Wilkins et al.,
1999)
- - M R P - (22)
Plasmin - - - K or R - - (23)
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Table 5. Human milk proteins found to have been digested by cathepsin D. The
proteins are ordered based on the number of cleavages trypsin has performed on each.
Here we only considered the number of peptides that are unique, if a peptide was not
unique we consider only one copy of the peptide. Proteins exclusively found in milk
are represented in bold.
Protein name
Uniprot ID and access name
Total number
of cleavages
performed
β-casein P05814 (CASB_HUMAN) 78
Polymeric immunoglobulin receptor P01833 (PIGR_HUMAN) 21
Perilipin-2 Q99541 (PLIN2_HUMAN) 3
Osteopontin P10451 (OSTP_HUMAN) 2
αS1-casein P47710 (CASA1_HUMAN) 2
Deubiquitinating protein VCIP135 Q96JH7 (VCIP1_HUMAN) 2
Butyrophilin subfamily 1 member A1 Q13410 (BT1A1_HUMAN) 2
Receptor-type tyrosine-protein
phosphatase
Q15262 (PTPRK_HUMAN) 2
Macrophage mannose receptor 1 P22897 (MRC1_HUMAN) 2
Protein CASC3 O15234 (CASC3_HUMAN) 1
Flavin containing monooxygenase 5,
isoform CRA_c
Q9HA79 (Q9HA79_HUMAN) 1
Abl interactor 1 Q8IZP0 (ABI1_HUMAN) 1
Misshapen-like kinase 1 Q8N4C8 (MINK1_HUMAN) 1
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La-related protein 1 Q6PKG0 (LARP1_HUMAN) 1
Receptor-type tyrosine-protein
phosphatase α
P18433 (PTPRA_HUMAN) 1
Ubiquitin carboxyl-terminal hydrolase 51 Q70EK9 (UBP51_HUMAN) 1
Protein diaphanous homolog 1 O60610 (DIAP1_HUMAN) 1
Neural Wiskott-Aldrich syndrome protein O00401 (WASL_HUMAN) 1
κκκκ-casein P07498 (CASK_HUMAN) 1
Insulin receptor substrate 1 P35568 (IRS1_HUMAN) 1
Transcription factor 7-like 2 Q9NQB0 (TF7L2_HUMAN) 1
Gamma-glutamyltransferase 6 Q6P531 (GGT6_HUMAN) 1
PH domain leucine-rich repeat-containing
protein phosphatase 1
O60346 (PHLP1_HUMAN) 1
Dedicator of cytokinesis protein 1 Q14185 (DOCK1_HUMAN) 1
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Table 6. Human milk proteins found to have been digested by elastase. The proteins
are ordered based on the number of cleavages trypsin has performed on each. Here we
only considered the number of peptides that are unique, if a peptide was not unique
we consider only one copy of the peptide. Proteins exclusively found in milk are
represented in bold.
Protein name Uniprot ID and access name
Total number of cleavages
performed
β-casein P05814 (CASB_HUMAN) 41
Polymeric immunoglobulin receptor P01833 (PIGR_HUMAN) 25
Butyrophilin subfamily 1 member
A1
Q13410 (BT1A1_HUMAN) 8
αS1-casein P47710 (CASA1_HUMAN) 3
Perilipin-2 Q99541 (PLIN2_HUMAN) 3
Protein CASC3 O15234 (CASC3_HUMAN) 1
Androgen receptor Q9UN21 (Q9UN21_HUMAN) 1
Parathyroid hormone-related protein P12272 (PTHR_HUMAN) 1
Osteopontin P10451 (OSTP_HUMAN) 1
Heat shock protein β-1 P04792 (HSPB1_HUMAN) 1
Receptor-type tyrosine-protein
phosphatase K
Q15262 (PTPRK_HUMAN) 1
Receptor-type tyrosine-protein
phosphatase α P18433 (PTPRA_HUMAN) 1
Gamma-glutamyltransferase 6 Q6P531 (GGT6_HUMAN) 1
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FIGURES
Figure 1.
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Figure 2.
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TOC Graphic
Graphic for Table of Contents
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